Individual provider Active NPI

Elizabeth Granados, LCSW

  • Clinical Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1790085538
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO35793-1 Issued in NY
Practice address
8 Industry St
Poughkeepsie, NY 12603-2618
Phone
(845) 471-8876
Fax
(845) 473-2567
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X RO35793-1 NY Primary

Addresses

Primary practice location

8 Industry St
Poughkeepsie, NY 12603-2618

Mailing address

4536 Albany Post Rd
Hyde Park, NY 12538-1564
Phone (845) 229-2403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110214000216 NY Practitioner - Clinical Social Worker 5597945295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nysarc Inc Sullivan County ChapterGroup PAC ID 2668473729, 21 clinicians

Practice addresses (Care Compare)

162 E Broadway
Monticello, NY 12701-8815
Phone (845) 796-1350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO35793-1NYMDClinical Social Worker
035793NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc Sullivan County Chapter CurrentSince Jan 1, 2021 Accepting new patients

Locations

162 E Broadway
Monticello, NY 12701
Phone (845) 796-1350

1435 Route 44
Pleasant Vly, NY 12569
Phone (845) 635-8084

8 Industry St
Poughkeepsie, NY 12603
Phone (845) 471-8876

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1790085538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381564",
            "telephone_number": "845-229-2403",
            "fax_number": "845-229-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 INDUSTRY ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032618",
            "telephone_number": "845-471-8876",
            "fax_number": "845-473-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANADOS",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO35793-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.